PMID- 23392149
OWN - NLM
STAT- MEDLINE
DCOM- 20130415
LR  - 20220321
IS  - 1530-0358 (Electronic)
IS  - 0012-3706 (Linking)
VI  - 56
IP  - 3
DP  - 2013 Mar
TI  - Long-term results of ligation of intersphincteric fistula tract (LIFT) for 
      fistula-in-ano.
PG  - 343-7
LID - 10.1097/DCR.0b013e318278164c [doi]
AB  - BACKGROUND: Ligation of intersphincteric fistula tract is a novel surgical 
      technique in the treatment of transsphincteric fistula-in-ano that has been shown 
      to be successful in the short term. Median follow-up in current literature ranges 
      from 5 to 9 months. However, the long-term success rate is unknown. OBJECTIVE: 
      This study describes our long-term results in performing the ligation of 
      intersphincteric fistula tract procedure. DESIGN: This study is a retrospective 
      review. PATIENTS: Thirty-eight patients from August 2008 to October 2011 were 
      evaluated. INTERVENTIONS: All patients underwent the ligation of intersphincteric 
      fistula tract for fistula-in-ano. MAIN OUTCOME MEASURES: Patient and fistula 
      characteristics, primary healing rate, secondary healing rate, previous 
      treatments, and failures were reviewed. RESULTS: The median follow-up was 26 
      months (range, 3-44 months), and 26 patients (68%) were followed for greater than 
      12 months. The overall primary healing rate was 61% (23 of 38), and it was 62% 
      (16 of 26) in patients followed for over 12 months. Eighty percent (12/15) of the 
      failures are early failures (persistent symptoms or failure at </=6 months), and 
      20% are late failures (>6 months) with 1 failure occurring 12 months 
      postprocedure. Increase in length of fistula tract was associated with decreased 
      healing (OR 0.55, 95% CI 0.34-0.88, p = 0.01). There were no intraoperative 
      complications and no reported incontinence. CONCLUSION: Our study demonstrates 
      favorable long-term results for the ligation of intersphincteric fistula tract 
      procedure. It appears that long tracts negatively affect healing, and late 
      failures can occur up to 12 months postoperatively. Understanding the type of 
      failure can help guide subsequent treatment to maximize healing success.
FAU - Liu, Wendy Y
AU  - Liu WY
AD  - Harbor-UCLA Medical Center, Division of Colon and Rectal Surgery, Torrance, CA 
      90502, USA.
FAU - Aboulian, Armen
AU  - Aboulian A
FAU - Kaji, Amy H
AU  - Kaji AH
FAU - Kumar, Ravin R
AU  - Kumar RR
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Dis Colon Rectum
JT  - Diseases of the colon and rectum
JID - 0372764
SB  - IM
MH  - Adult
MH  - Anal Canal/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Ligation/methods
MH  - Male
MH  - Middle Aged
MH  - Rectal Fistula/*surgery
MH  - Retrospective Studies
MH  - Treatment Failure
MH  - Treatment Outcome
MH  - Wound Healing
EDAT- 2013/02/09 06:00
MHDA- 2013/04/16 06:00
CRDT- 2013/02/09 06:00
PHST- 2013/02/09 06:00 [entrez]
PHST- 2013/02/09 06:00 [pubmed]
PHST- 2013/04/16 06:00 [medline]
AID - 00003453-201303000-00012 [pii]
AID - 10.1097/DCR.0b013e318278164c [doi]
PST - ppublish
SO  - Dis Colon Rectum. 2013 Mar;56(3):343-7. doi: 10.1097/DCR.0b013e318278164c.